Individual provider Active NPI

James Barker, DC, MS

  • Chiropractor
  • Klamath Falls, OR
National Provider Identifier
1770119489
Registry record updated Mar 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6070 Issued in OR
Practice address
621 Klamath Ave
Klamath Falls, OR 97601-6130
Phone
(541) 882-5602
Fax
(541) 882-5897
NPI assigned
Mar 14, 2020
Last updated
Mar 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6070 OR Primary

Addresses

Primary practice location

621 Klamath Ave
Klamath Falls, OR 97601-6130

Mailing address

621 Klamath Ave
Klamath Falls, OR 97601-6130
Phone (541) 882-5602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200617001987 ID Practitioner - Chiropractic 2567884711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonfire Chiropractic PLLCGroup PAC ID 6800248899, 2 clinicians

Practice addresses (Care Compare)

6291 N Fox Run Way
Suite 110
Meridian, ID 83646-1707
Phone (208) 266-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6070ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bonfire Chiropractic PLLC Chiropractor CurrentSince Nov 21, 2023 Accepting new patients
Back to Health Chiropractic Alliance, LLC Chiropractor PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584144000000",
    "number": "1770119489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 KLAMATH AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016130",
            "telephone_number": "541-882-5602",
            "fax_number": "541-882-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 KLAMATH AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016130",
            "telephone_number": "541-882-5602",
            "fax_number": "541-882-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.